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作为慢性弥漫性脑膜炎症的视交叉蛛网膜炎(OXA),是鼻窦源性颅内併发症之一,病损部位主要在基底池、视神经和视交叉,患者多为18~30岁青年,如不及时治疗极易因盲致残,其早诊及预防问题亟需研究。作者观察80例患者,均呈进行性发展,视力急剧下降,视野出现中心绝对暗点,视乳头苍白。其发病常与鼻炎、流感有关。多数患者虽经长期抗炎治疗,但终因鼻窦炎性病灶的存在而发展成OXA。作者强调对患者及时诊治鼻窦炎的重要性,不少患者的鼻窦炎未获确诊或
As a chronic diffuse meningitis of the optic chiasm arachnoiditis (OXA), is one of sinus-derived intracranial complications, the lesion mainly in the basal cistern, optic nerve and optic chiasm, mostly in patients 18 to 30 years of age, If not promptly treated due to blindness, its early diagnosis and prevention problems urgently need to study. The authors observed 80 patients, were progressive development, a sharp decline in visual acuity, dark spots appear in the center of sight, pale papillae. Its incidence is often associated with rhinitis and flu. Although the majority of patients with long-term anti-inflammatory treatment, but the final cause of sinusitis lesions and the development of OXA. The authors emphasize the importance of timely diagnosis and treatment of sinusitis in patients, many patients have not been diagnosed sinusitis or